Tina Rulli, David Wendler, and Ezekiel J. Emanuel discuss the Affordable Care Act for The Journal of the American Medical Association. They argue, “Because physicians and hospitals have a duty to rescue the uninsured by providing acute and emergency care, individuals have a corresponding duty to purchase insurance to cover the costs of this care.” Rulli, Wendler and Emanuel conclude that the “moral duty [to purchase insurance] provides grounds for an enforceable legal duty because the state has an interest in limiting individuals’ imposition of substantial burdens on others.”